Name:
Simmonds or Thompsons Test for Tendoachilles Rupture (How to diagnose TA Rupture)
Description:
Simmonds or Thompsons Test for Tendoachilles Rupture (How to diagnose TA Rupture)
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Duration:
T00H03M19S
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Upload Date:
2024-05-31T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
Well with us today, I'm going to demonstrate to you a clinical test for a rupture called Tendoachilles. It is called Simmond's or Thompson's test. It is a commonly used test for rupture of Tendoachilles. I will also show you some clinical signs which will help you to identify that the tendon achilles is ruptured.
To do this Simmonds test or Thompson test, you should have your patient prone. Now, if somebody has got a rupture of tendoachilles, I want you to see a few things. So first thing that I want to show you is if you see this normal leg, you can see, there is a clear tenting and you can appreciate the tentacles. If I show you on the side here, you will see that there is no prominence.
And in fact, if you look it from the side, you will be appreciate, you will appreciate the small hollow. And if you find this, then you should be thinking of a tendoachilles rupture. If it's a chronic case, you will have associated twisting of the calf muscles. Now, this patient is only 31 had injury yesterday, so you will not have that wasting. But all these swelling, bruising, lack of tenting and a visible gap is suggestive of tendoachilles.
So you can do the same test with the leg hanging down. I prefer to keep my knee 90 degree in flexion, both the side. And the third thing that you will notice is if you see the resting position of both the feet, you will see the affected side is more dorsiflexed then the non affected side. And this is because now the dorsiflexion is, are more powerful and the plantor flexors have become weak.
So this resting position is also give away. Now the test is very simple. All you need to do is to squeeze the calf. So if I squeeze the calf here, you will notice that there is no movement and partial tears. You might have some movement, but on this occasion you don't see any movement. And if I do the other side, you will see this a clear movement. So I would show this from the end of the table.
So let me squeeze the patient's non affected side. So you will see the foot is moving quite nicely. Now let's see the injured side. There is no movement. So this is a positive test suggestive of a complete tendoachilles rupture. It was this was a demonstration of Simmond's test or a Thompson test for rupture of tendoachilles. I also showed you some clinical signs which will help you in identifying and diagnosing this clinical condition.
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